Lecture 20 - Urinary System and Excretion

Transcription

Outline – Urinary System
Urinary System and Excretion
I. Function
II. Organs of the urinary system
A. Kidneys
1. Function
2. Structure
III. Disorders of the urinary system
Bio105
Lecture 20
Chapter 16
2
1
Copyright © 2009 Pearson Education, Inc.
Urinary System
Urine
 The digestive system eliminated
waste from the digestive tract. But
we also need a way to eliminate
waste from the rest of the body.
 Function of urinary system is:
Excretion of metabolic wastes and to
maintain homeostasis of blood.
 Urine contains:







Water
HCO3Inorganic salts
H+
Urea
Uric acid
Creatinine
3
Excretion
Organs of the Urinary System
 Excretion - the majority of the
metabolic wastes removed from the
body is mainly due to the action of
the kidneys.
1. Kidneys – main organ in the urinary system,
produces urine.
2. Ureters - conduct urine from the kidneys to the
bladder by peristaltic contractions produced from
contractions of smooth muscles in ureter wall.
5
6
1
Functions of the Kidneys
Organs of the Urinary System
3. Urinary bladder - stores urine until it is expelled
from the body.
4. Urethra - small tube that extends from the urinary
bladder to an external opening. In males the
urethra also functions as a reproductive tract
organ.
1. Filter waste from blood
2. Maintenance of water-salt balance of
the blood.
3. Regulates blood pressure
4. Maintenance of acid-base balance of
the blood.
5. Secretion of hormones = renin and
erythropoietin.
7
8
Urinary System
Urinary System
Heart
Kidney
• Produces urine
• Conserves water
• Regulates pH
• Stimulates
production of
red blood cells
• Transforms
vitamin D into
active form
Ureter
• Transports urine
from kidneys
to bladder
Urinary
bladder
• Stores urine
Adrenal
gland
Diaphragm
Inferior
vena cava
Renal
artery
Renal vein
Aorta
Urethra
• Transports
urine from
urinary bladder
to outside the body
Vascularization







Aorta
Renal artery
Arterioles
Capillaries
Venules
Renal Vein
Vena Cava
Figure 16.2 (1 of 2)
Figure 16.2 (2 of 2)
The Kidneys
Adrenal
gland
Renal artery
Renal vein
Ureter
Outermost
connective
tissue layer
Innermost
connective
tissue layer
Adipose
capsule
(a) Blood vessels and protective
layers around kidneys
Figure 16.3a
2
The Regions of the Kidneys

Figure 16.3b Structure of the kidney
Renal cortex
Each kidney has three regions:
1. Renal cortex
2. Renal medulla
3. Renal pelvis
Renal pyramid
(of renal medulla)
Renal column
(extension of
renal cortex)
Renal pelvis
(b) Internal kidney structure
Regions of the Kidney
Nephrons
1. Renal cortex - an outer granulated layer.
 The functional units of the kidneys.
 Over 1 million nephrons per kidney
 Nephrons extend from the Renal cortex, into
the renal medulla
2. Renal medulla - consists of cone-shaped
tissue masses called renal pyramids.
3. Renal pelvis - a central cavity that is
continuous with the ureter.
15
16
The Nephron
The Nephron
Glomerular
capsule
Glomerular
Capillaries
at start of
nephron
Afferent
(incoming)
arteriole
Efferent
(outgoing)
arteriole
Distal
convoluted
tubule
Proximal
convoluted
tubule
Surrounding
capillaries
Loop of the
nephron
Collecting duct
(b) A nephron and its blood supply
Figure 16.3b–c
Figure 16.4b
3
Parts of the Nephron
The Nephron
Renal
corpuscle
1. The renal corpuscle
Glomerular capsule
(glomerulus within)
A. The glomerulus
B. The glomerular capsule
2. The renal tubule
Proximal
convoluted tubule
A. Proximal convoluted tubule
B. Loop of the nephron
C. Distal convoluted tubule
Renal
tubule
Loop of the
nephron
Distal convoluted
tubule
3. The collecting Duct
(c) Simplified view of a nephron, showing the
basic structural components but not the
associated capillaries
The renal corpuscle
 The renal corpuscle is where fluid is
filtered from blood
 Consists of
 The glomerulus - The network of
capillaries
 The glomerular capsule (Bowman’s
capsule) - Surrounds the glomerulus
Figure 16.4c
The Nephron

The nephron performs three functions
1. Glomerular filtration
2. Tubular reabsorption
3. Tubular secretion
The Nephron - Glomerular filtration
 Glomerular filtration occurs as blood
pressure forces water, ions, and other
small molecules in the blood through the
pores in the glomerulus and into the
glomerular capsule
 The filtrate passes into the renal tubule
24
4
The Nephron
The Nephron
Path of filtrate
Path of blood
Movement of water
and small solutes
Glomerulus
Glomerular
capsule
Space within the
glomerular capsule
Afferent (incoming)
arteriole
Efferent (outgoing)
arteriole
Proximal
convoluted tubule
Filtrate
(a)The renal corpuscle consists of the
glomerular capsule and a ball of
capillaries called the glomerulus.
Capillary wall
Figure 16.5a
The renal tubule
Figure 16.5b
Collecting Ducts
1. Proximal convoluted tubule (PCT) - where
reabsorption of filtrate components occurs,
tubular secretion can also occur here.
 Collecting ducts - carry urine to the renal
pelvis.
2. Loop of the Nephron (Loop of Henle) - consists of
a descending limb and an ascending limb that
regulates osmotic balance.
3. Distal convoluted tubule (DCT) – Further
absorption of water and salts; leads to the renal
pelvis
27
28
The Nephron
Urine Formation
Afferent (incoming)
arteriole
Step 3: Tubular secretion
W astes, excess ions, and
drugs are actively secreted
into the distal (and proximal)
convoluted tubules from the
surrounding capillaries.
Some secretion also occurs
along the collecting duct.
Efferent (outgoing)
arteriole
Drugs
Step 1: Glomerular filtration
W ater, ions, amino acids,
glucose, nitrogen-containing
wastes, and other small
molecules move from the
glomerulus to the inside of the
glomerular capsule to form
glomerular filtrate.
Glomerular
capsule
Glomerulus
H+
Nitrogencontaining
waste
 Tubular reabsorption - many molecules are
reabsorbed – transported from the lumen into
the tissues then into capillaries. Occurs mainly in
the PCT (H2O, nutrients, salts)
NH4+
K+
H2O
Glucose
Amino acids
Ions
Glucose
Ions
H2O
Artery
Renal
cortex
Vein
 Tubular secretion - substances are removed
from the blood and added to the tubular fluid,
mainly in the DCT. (H+, creatinine, and drugs like
penicillin)
Renal
medulla
Step 2: Tubular reabsorption
W ater, essential ions, and
nutrients are reabsorbed
from the proximal convoluted
tubule into the surrounding
capillaries. Some reabsorption
of water and ions occurs along
other sections of the renal
tubule and collecting duct.
Collecting duct
Surrounding
capillaries
Path of filtrate
Path of blood
Movement of substances
from blood to filtrate
Movement of substances
from filtrate to blood
Loop of the
nephron
Urine
Renal pelvis
within kidney
30
Figure 16.7
5
32
C
A
F
B
D
E
G
33
Regulation of Urine
Hormonal Regulation of Urine
 Diuretics increase urinary output, making
more dilute urine
1. Antidiuretic hormone (ADH)
 Examples:
 Caffeine
 Lasix
 Alcohol
2. Aldosterone


Makes more concentrated urine
Increases blood volume and pressure

Makes more concentrated urine

Increases blood volume and pressure
3. Atrial Natriuretic Peptide (ANP)

Makes more dilute urine

Decrease blood volume and pressure
35
36
6
Table 16.3 Review of Hormones
Hormonal Regulation of Urine - ADH
 Antidiuretic hormone (ADH)
 Makes the collecting duct more permeable to
water therefore, increases the water
reabsorption in the collecting duct, making more
concentrated urine.
 Produced by the hypothalamus, stored in the
posterior pituitary gland.
 Site of action: collecting ducts.
38
Diabetes insipidus
Kidney Function and ADH
 Diabetes insipidus is caused by producing
too little ADH
 Symptoms: excrete large amounts of dilute
urine
Decrease in concentration
of water in blood is detected
by the hypothalamus.
Hypothalamus
Nerve cells
produce antidiuretic
hormone (ADH)
An increase in the concentration
of water in the blood causes:
• Increase in blood volume
• Increase in blood pressure
• Decrease in urine volume
More water moves
from the filtrate back
into the blood.
Anterior lobe of
pituitary gland
Posterior lobe of
pituitary gland
39
Antidiuretic hormone (ADH)
is produced by the
hypothalamus and released
by the posterior lobe of the
pituitary gland.
ADH prompts an increase in the
permeability to water of distal
convoluted tubules and collecting
ducts of nephrons.
Hormonal Regulation of Urine - Aldosterone
 Aldosterone
 Hormone produced and released by the adrenal
cortex
 Increases sodium reabsorption in the distal
convoluted tubule and the collecting duct, water
follows
 Making more concentrated urine.
Figure 16.9
Juxtaglomerular apparatus and Aldosterone
 Aldosterone is released in response to blood
pressure monitored by the juxtaglomerular
apparatus
 The cells in the juxtaglomerular apparatus
release the hormone renin.
 Renin is converted to an active form that
stimulates the adrenal cortex to release
aldosterone
41
7
Kidney Function and Hormones
Hormonal Regulation of Urine - ANP
 Atrial Natriuretic Peptide (ANP)
 Hormone produced by the heart in response to
increased blood volume and pressure
 Decreases sodium reabsorption in the distal
convoluted tubule and the collecting duct, water
stays in the filtrate
 Also inhibits production of aldosterone and
renin
 Making more dilute urine. Lowers blood
pressure and blood volume
44
Figure 16.10
Hormones Produced by the kidneys
1. Renin – Increases blood pressure by
triggering the release of aldosterone by
the adrenal cortex
2. Erythropoietin – speeds up the
maturation process of RBCs, target =
stem cells in bone marrow
45
46
The Kidney’s role in Vit D
Kidney’s role in Acid-Base Balance
 Vitamin D is produced in the skin in response
to sunlight, and provided by certain foods in
diet
 H+ is secreted into the tubules and
bicarbonate is reabsorbed out of the tubules
 The kidneys and liver transform Vitamin D
into the active form, calcitrol.
 Calcitrol promotes the absorption of calcium
into the small intestine and reabsorption of
calcium in the kidneys.
47
48
8
Kidney’s role in Salt-Water Balance
Bladder
 The kidneys reabsorb salt and water,
maintaining osmotic balance in the blood,
this also affects blood pressure
 The urine goes from the kidneys into the
ureters then to the bladder where it is
stored until it can be released through the
urethra.
49
50
Urination
 Urination is controlled by both voluntary and
involuntary actions
 When the bladder fills to about 250ml of
urine then the motor nerve impulses cause
the bladder to contract and the sphincters to
relax so that urination is possible.
52
Urinary Function Disorders
 Acute renal failure
 Urinary tract infections (UTIs)
 Acute renal failure – abrupt and nearly complete
failure of kidney to function
 Caused by severe inflammation, drugs, or poisons.
 Treatment – dialysis and organ transplant
53
54
9
Important Points
 Urinary tract infections (UTIs) – Bacterial
infection of the urinary tract:
 Read Chapter 17 for next lecture
 Urethritis - infection confined to the urethra.
 Cystitis - infection of the urethra and bladder.
 Pyelonephritis - infection reaches the kidneys.
 What are the functions of the urinary system?
 What compounds are contained in urine, what
compounds are not contained normally in urine?
 What are the organs of the urinary system and
their functions, including all the functions of the
kidney?
 Treatment: antibiotics
 What are the blood vessels that lead to and from
the heart and the kidney and the vessels within
the kidney?
55
56
Important Points
Important Points
 What are the three regions of the kidney?
 How is urinary output regulated, what are
examples of diuretics? What hormones decrease
or increase urinary output? What effect on blood
pressure do these hormones have? Where are
these hormones produced, stored and released
from. What is their effect on the nephron?
 What is the function of a nephron, what are the
parts of the nephron and the functions of these
parts?
 What is glomerular filtration, reabsorption and
secretion in the nephron, what is contained in the
filtrate leaving the renal corpuscle, what
compounds are reabsorbed and what are secreted
and where in the nephron are the compounds
reabsorbed or secreted?
 What is the cause of diabetes insipidus
 What is the function of renin, where it is produced,
what is the target and what is the effect of renin on
urine production and blood pressure?
57
Important Points
 What is the function of erythropoietin, what is the
target, where is it produced?
 What is the role of the kidney in Vit D production
and calcium absorption? What is the active form
of Vit D?
58
Definitions
 Excretion, renal pyramids, renal corpuscle,
tubular reabsorption, tubular secretion,
filtration, filtrate, diuretic, calcitrol
 How does the kidney regulate blood pH and
maintain osmotic balance? How does the
regulation of salt/water balance effect blood
pressure?
 Be able to discuss the disorders of the urinary
system, including the causes, effects and
59
treatments?
10

Lecture 20 - Urinary System and Excretion

Transcription

Similar documents

DIGITAL SYSTEMS

Kidneys

14. Państwo

Renal function []

Using Pearson SuccessNet

The Urinary System

Tengion Corporate Overview

Excretory System Disorders

BackPack Level 1 Little Books